A Care Advocate will work with patients and help them in dealing with various healthcare processes such as from insurance to procedure cost and much more. A well-drafted Care Advocate Resume lists the following duties – advocating patients on a one-to-one basis; guiding the patients in understanding the healthcare process and procedures; providing various treatment options to patients, liaising with claims department staff, analyzing complaints, gathering and examining patient information to determine eligibility; and working on special projects as assigned.
The job resume should highlight qualifications such as – proficiency in handling multiple line telecommunication systems, knowledge of medical terminologies and coding process, excellent verbal and written communication skills, in-depth knowledge of the health insurance industry, and the ability to comply and respect confidentiality and HIPAA guidelines. In order to get qualified, candidates are expected to have a nursing or healthcare background.
Summary : A hardworking, energetic and vibrant individual with excellent communication and customer service skills looking for a career that exudes these qualities.
Skills : Medical Terminology, Leadership.
Description :
Focused on initial and concurrent reviews for psychiatric and substance abuse patients.
Obtained information from providers on outpatient requests for treatment.
Determined if additional clinical treatment sessions are needed.
Managed inpatient, partial hospitalization, intensive outpatient and outpatient mental health and substance abuse patients.
Administered benefits and review treatment plans.
Coordinated benefits and transitions between various area of care.
Identified ways to add value to treatment plans and consults with facility staff on those ideas.
Experience
7-10 Years
Level
Management
Education
Psychology
Care Advocate II Resume
Headline : To continue professional growth where experience and personal initiative will be of immediate value and lead to increased responsibilities within the organization.
Skills : Customer Service, Database and Spreadsheet Management.
Description :
Assist and educate families with obtaining access to and retaining memberships in all available healthcare services and programs.
Navigate members through the selected programs and give instructions on premium payments, annual renewals and health plan systems as well as provide instruction on how to use the Healthy Families/Medi-Cal/AIM handbook.
Schedule appointments for medical and dental services.
Monitor enrollment, conduct follow-up on all applicants and track re-enrollments.
Assist families with appeals, payment disputes and other complex issues.
Participate in community outreach events as well as ongoing training and program updates.
Prepare and maintain required paperwork and compile monthly reports and presentations.
Maintain established departmental policies and procedures, quality assurance program, safety, environmental and infection control standards.
Proven ability to establish and maintain good interpersonal relationships as well as the ability to work creatively, independently, and meet deadlines.
Experience
5-7 Years
Level
Executive
Education
MS
Care Advocate/Executive Resume
Headline : Experience working with mentally ill and co-occurring disordered clients for many years resulted in excellent diagnostic and treatment skills. Work well within a team and strive to keep skills and education.
Reviewed cases for self-insured business, involving extensive knowledge of the DSM IV-TR, treatment, and discharge planning.
Wrote up reviews following HIPPA and UBH guidelines.
Coordinated with Discharge Program and discharge planners.
Attended team meetings and training as scheduled; provided special services.
Scheduled and facilitated peer-to-peer reviews with doctors when necessary.
Provided innovative suggestions for improving workflow in the corporation.
Provided timely reports to supervisors and did the follow up with facilities.
Experience
5-7 Years
Level
Executive
Education
Professional Counseling
Care Advocate/Representative Resume
Summary : Licensed Mental Health Counselor with an extensive background in group and individual work with children, adolescents, adults and couples. Prior experience in residential treatment programming.
Skills : Microsoft Office, Technical Skills.
Description :
Processed telephonic initial inpatient and intermediate admissions for psychiatric and chemical dependency patients.
Evaluated patient assessments and determined appropriate levels of care.
Obtained information from providers on outpatient requests for treatment received electronically.
Determined if additional clinical treatment sessions were needed.
Handled inbound calls via Avaya One System and utilized electronic databases.
Administered benefits and review treatment plans.
Coordinated benefits and transitions between various levels of care.
Experience
7-10 Years
Level
Management
Education
Masters Of Arts
Care Advocate/Analyst Resume
Headline : Five years experience in an office setting providing customer service and office support. Two years experience in photography and using photographic software, like Adobe Lightroom.
Skills : Medical Terminology, Physician Order Transcription.
Description :
Reviewed with Mental Health and Substance Abuse providers and facilities.
Across the United States to monitor the efficiency and effectiveness of treatments.
Case consultation and licensed supervision for non-licensed intake counselors.
Researched and recommending treatment options.
Created a resource Manual on Centers of Excellence across the United States.
Provided excellent customer service. Clear and timely documentation of all communications.
Utilized the company, Federal, and State policy and law as a framework for decision making.
Experience
5-7 Years
Level
Executive
Education
MSS
Care Advocate I Resume
Objective : Experienced private duty manager/provider with experience in multiple settings; at home, in nursing facilities and in hospitals Seeking a rewarding position.
Initiated both telephonic and face-to-face outreach to a caseload of Medica AccessAbility Solutions.
Conducted needs assessments, developing care plans, and providing case management.
Reviewed utilization and level of care guidelines to process provider and member requests for service.
Promoted collaboration between providers across levels of care and advocating for member's needs.
Participated in the MN Care Advocacy Center's Crisis Triage line to aid members with both commercial and government plans.
Served as a senior clinician on a team of care advocates during a period of department expansion.
Assisted Clinical Program Managers in streamlining assessment and care plan tools.
Experience
2-5 Years
Level
Junior
Education
Psychology
Associate Care Advocate Resume
Summary : Extensive experience in creating, developing and implementing a multitude of health care education initiatives targeted to a variety of populations and settings.
Skills : Healthcare Training, Education.
Description :
Received management recognition for outstanding project leadership by overseeing.
Directed the successful implementation of new Medicaid acquisition account.
Awarded the recipient for excellent clinical performance and team leadership in delivering exceptional care.
Increased productivity by designing and implementing cost-saving measures to streamline operations and eliminate redundancy.
Awarded promotional delegation as a mediation director for transitional account services.
Provided functional analysis and development of business operations.
Honored by peers for numerous merit recognition awards for exceptional customer service.
Experience
10+ Years
Level
Senior
Education
Masters Of Arts
Lead Care Advocate Resume
Summary : Seeking a receptionist position that allows to utilize customer service, and client relation skills with Accuracy and efficiency while maintaining a motivated, productive, and goal oriented environment.
Skills : Technical Skills, Leading Skills.
Description :
Answered inbound calls and make outbound calls Create cases for customers per call.
Worked with Microsoft Word and Outlook.
Answered questions related to vehicle concerns and features.
Checked Recalls and Extended Warranty info.
Worked with the dealership to further assist the customer as needed.
Cased documentation and escalation Accomplishments With a short time.
Advocated which is having the ability to make decisions without a review from a Supervisor.
Utilized more resources to better assist customers.
Experience
7-10 Years
Level
Management
Education
M.S
Asst. Care Advocate Resume
Summary : Detail-oriented and versatile professional, with highly responsible operations experience gained in fast-paced environments, multitasking through critical acts of decisiveness delivering research and results on time.
Provided technical customer support services for business and residential customers.
Trained and monitored others to perform customer support services under management supervision.
Respond to customer action inquiries regarding Affiliate (non LEC) Internet Services.
Performed standard isolation analysis and a variety of duties within the Affiliate Service Center.
Received, recorded, initiated, and coordinated corrective action for statewide trouble calls from customers.
Performed test analysis and isolation activities with customers.
Established new facility records or updates existing records.
Experience
7-10 Years
Level
Management
Education
Bachelors Of Science
Care Advocate Resume
Summary : Customer Service professional with experience in both the not-for-profit and for-profit fields. Strong skills in customer service, clinical and case management, writing, editing and fundraising.
Skills : Microsoft Office Suite, Analytical Skills.
Description :
Expressed Scripts Handle customer service inquiries from members, providers, physicians, and members.
Worked to research and resolve problems in a timely manner.
Assisted members in understanding and maximizing the use of their pharmacy distribution program.
Computerized system to gather information and respond to questions.
Documented issues and resolutions in a common database.
Managed mental health and chemical dependency services for UBH members.
Responsible for referring plan members to the appropriate levels of care.
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